HPI Cranial

Question 1

Sutural Separation Challenge

Answer 1

Pull the suture apart. Test for weakening of previously strong muscle.

Question 2

Sutural Separation Correction

Answer 2

Gently push the suture together 5-10 times.

Question 3

Sutural Jamming Challenge

Answer 3

Push the suture together. Test for weakening of previously strong muscle.

Question 4

Sutural Jamming Correction

Answer 4

Gently pull the suture apart 5-10 times.

Question 5

Clinical Correlation: Sagittal Suture

Answer 5

Associated with weak abdominal muscles, especially Rectus Abdominus.

Question 6

Clinical Correlation: Lambdoidal Suture

Answer 6

Associated with weak digastric muscles. Also related to closed illiocecal valve syndrome (digestive issues).

Question 7

Clinical Correlation: Zygomatic Bone

Answer 7

Sutural fault at any of the joints between the Zygomatic bone and the Maxilla, Lacrimal, or Temporal bones is associated with illiocecal valve syndrome (digestive issues).

Question 8

Clinical Correlation: Temporal Bulge Fault

Answer 8

Often present with Category I and usually on the right. Can be associated with digestive issues (reflux) and hiatal hernia.

Question 9

Clinical Correlation: Parietal Descent Fault

Answer 9

Usually present opposite Temporal Bulge. Hypertonic Temporalis may need GTO or MSC technique. Often tender.

Question 10

Clinical Correlation: Fruit Jar Fault

Answer 10

The forehead may appear shifted to one side. Often present with Category III and the forehead is usually to the left. Can be associated with digestive issues (reflux) and hiatal hernia.

Question 11

Clinical Correlation: Internal Frontal Fault

Answer 11

Often found with Fruit Jar.

Question 12

Clinical Correlation: External Frontal Fault

Answer 12

The eye may appear wider and protrude on the side of involvement. Found with Sacral Base Posterior, Bilateral Glute Paresis, and C1/C2 fixation.

Question 13

Clinical Correlation: Spheniod General

Answer 13

Effects CN 2,3,4,6.
Correct teeth and TMJ before correcting the Spheniod.
Usually another cranial fault on the same side.
Hypertonic brachiocephalicus and/or sternocephalicus on the high sphenoid side.
Look for a medial inferior tarsus on the high sphenoid side.

Question 14

Clinical Correlation: Spheniod Superior Fault

Answer 14

Headache (Frontal, Parietal, Occipital)
Accompanied jamming of the Parietotemporal suture.
It may be very tender.
The eye may appear wider and protrude on the side of involvement.

Question 15

Clinical Correlation: Spheniod Rotation Fault

Answer 15

Accompanies Spheniod Superior and usually anterior on the same side.
Associated with chronically low temperature.
The nose may appear bent away from the superior spheniod.

Question 16

Temopral Bulge Challenge

Answer 16

The doctor makes a thumb contact on the ipsilateral frontal and occipital bones and presses them together, altering the vector of pressure to find the maximum weakening of a previously strong muscle.

Question 17

Temporal Bulge Correction

Answer 17

The doctor makes a thumb contact on the ipsilateral frontal and occipital bones and presses them together 5-10 times in the direction that caused the most weakening in the challenge.

Check for Category I.

Question 18

Parietal Descent Challenge

Answer 18

Push the parietotemporal suture together. Usually present on the opposite side of a Temporal Bulge Fault.

Question 19

Parietal Descent Correction

Answer 19

The doctor will make a broad contact on the parietal and temporal bones, stabilizing the temporal bone with inferior pressure while lifting the parietal bone superiorly.

Check for GTO/MSC on the ipsilateral temporalis muscle.

Question 20

Fruit Jar Challenge

Answer 20

The doctor makes a broad contact across the maxilla and nasal bones with another broad contact on the frontal bones. The challenge is to stabilize the maxilla and nasal bones while stressing the frontal bones to the left or right, looking for weakening of a previously strong muscle.

Question 21

Fruit Jar Correction

Answer 21

The doctor makes a broad contact across the maxilla and nasal bones with another broad contact on the frontal bones. The correction is to stabilize the maxilla and nasal bones while stressing the frontal bones in the OPPOSITE direction as the positive challenge.

Check for Category III.

Question 22

Internal Frontal Challenge

Answer 22

The doctor will contact the zygomatic bone inferior to the orbit and apply gentle pressure in a superior-posterior direction, looking for weakening of a previously strong muscle.

Question 23

Internal Frontal Correction

Answer 23

The doctor will contact the zygomatic bone inferior to the orbit and apply gentle pressure in the same superior-posterior direction as the positive challenge, holding the pressure for 10-15 seconds.

Check for a Fruit Jar fault.

Question 24

External Frontal Challenge

Answer 24

Superior traction of skin above the eye. (Raising the eyebrow.)

Question 25

External Frontal Correction

Answer 25

The doctor contacts the frontal bone above the orbit on the same side as the challenge with one hand and the opposite occiput with the other hand. The correction is a pumping of the contacts toward each other 5- 10 times. Check for Sacral Base Posterior and C1/C2 fixation.

Question 26

Spheniod Superior Challenge

Answer 26

The doctor makes a broad contact over the left and right temporal areas. The challenge is to stress one side superiorly and the other inferiorly, looking for weakening of a previously strong muscle.

Question 27

Sphenoid Superior Correction

Answer 27

PART 1: The doctor makes a broad contact over the left and right temporal areas. The correction is to pump one side superiorly and the other inferiorly in the OPPOSITE direction of the challenge 5-10 times. PART 2: The doctor will make a broad contact on the parietal and temporal bones on the same side of the superior sphenoid, stabilizing the temporal bone with inferior pressure while lifting the parietal bone superiorly 5-10 times.

Question 28

Spheniod Rotation Challenge

Answer 28

The doctor makes a broad contact over the glabella and the temporal area. The challenge is to stabilize the glabella and stress the temporal area anteriorly and posteriorly, looking for weakening of a previously strong muscle.

Question 29

Shpeniod Rotation Correction

Answer 29

The doctor makes a broad contact over the glabella and the temporal area. The correction is to stabilize the glabella and gently pump the temporal area in the OPPOSITE direction (anterior or posterior) of the challenge.